2026 NPPES data Ophthalmology Physician NPI 1104813468 DO
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JEROME BENZ, DO

Ophthalmology Physician in YORK, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
198
Medicare Part D claims · 136 beneficiaries · Ophthalmology Physician avg: 1K
Generic prescribing
48%
generic claims · 52% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
52.5252/100
▼ 31 pts below national avg 83.1 · [object Object]
Industry payments
$270.09
14 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: JEROME BENZ, DO is a Ophthalmology Physician ([object Object]) practicing in YORK, Pennsylvania with a Medicare Part D prescribing footprint of 198 claims across 136 beneficiaries — 52% brand-name prescribing . Their CMS MIPS Final Score of 52.5252/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $270.09 across 14 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: JEROME BENZ, DO reported a CMS MIPS final score of 52.5252 out of 100, below the 83.1 national average, and filed 198 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

JEROME BENZ, DO practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

JEROME BENZ, DO at a glance

Below national average

NPI registry status

Active

Issued 10/03/2005

NPI 1104813468

Primary specialty

Ophthalmology Physician

Mid-sized

22,090 US NPIs in this specialty

Medicare Part D claims

198 86% vs specialty avg

2023 prescription claims

Specialty avg: 1,420

MIPS final score

52.5252/100 30.574799999999996% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Pennsylvania

How Ophthalmology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Ophthalmology Physician share within Pennsylvania

1. Ophthalmology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Ophthalmology Physician share within Pennsylvania

Medicare quality performance — MIPS

JEROME BENZ, DO's 2023 MIPS final score plotted against the Ophthalmology Physician national average

Below national average
MIPS Final Score
52.5252/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Ophthalmology Physician) — 52.5252/100 vs national avg 83.1

0%100%National avg83%52.5%
MIPS final score (Ophthalmology Physician) — 52.5252/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JEROME BENZ, DO is a Ophthalmology Physician provider practicing in YORK, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1104813468. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

JEROME BENZ, DO appears in the CMS NPPES registry as a Ophthalmology Physician provider holding DO credentials at 1880 KENNETH RD STE 1, YORK, PA, 17408, with a listed phone of (717) 767-2000. NPI 1104813468 was issued on 10/03/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what BENZ most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 198 prescription claims written by this provider, covering 136 Medicare beneficiaries and totaling roughly $28K in drug spend, split 52% brand-name and 48% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 52.5252/100 for the 2023 performance year (Quality 100, Cost 25.084), compared with the national average of 83.1.

Ophthalmology Physician is a mid-sized specialty nationwide, with 22,090 enrolled providers across 56 states and an average of 1,420 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1880 KENNETH RD STE 1
YORK, PA 17408

Provider Details

NPI 1104813468
Specialty Ophthalmology Physician
Credentials DO
Gender Male
NPI Issued 10/03/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

52.5252
Final Score
Avg: 83.1
100
Quality
25.084
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JEROME BENZ, DO bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

VISION INNOVATION CENTERS OF PENNSYLVANIA LLC
WEST PITTSTON, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JEROME BENZ, DO. Source: openpaymentsdata.cms.gov.

Total received

$270

Largest payer

Alcon Vision LLC

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to JEROME BENZ, DO. To verify JEROME BENZ, DO's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Brand-heavy

JEROME BENZ, DO — brand share 52.0%
Specialty average (est.)

52% brand-name claims vs 48% generic, on 198 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

198
Total Claims
$28K
Total Drug Cost
136
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
290
Total Day Supply
8,116
Brand vs Generic
52% brand / 48% generic
Brand Drug Cost
$25K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
74.9 years
Avg HCC Risk Score
1.34
Gender Split
41% female / 59% male

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Atropine Sulfate
67
Bromsite
Bromfenac Sodium
43
Prednisolone Acetate
39
Polymyxin B Sul-Trimethoprim
Polymyxin B Sulf/Trimethoprim
21

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Ophthalmology Physician Overview

How JEROME BENZ, DO fits within the Ophthalmology Physician landscape nationally.

22,090
Ophthalmology Physician Providers in US
56
States with Ophthalmology Physician
1,420
Avg Claims per Provider

JEROME BENZ, DO's 198 claims are below the specialty average of 1,420.

Nearby Ophthalmology Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as BENZ.

Compare Ophthalmology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JEROME BENZ, DO's specialty?
JEROME BENZ, DO specializes in Ophthalmology Physician and practices in YORK, Pennsylvania. Credentials: DO.
How much does JEROME BENZ, DO prescribe under Medicare Part D?
In 2023, JEROME BENZ, DO wrote 198 Medicare Part D claims totaling $28K in drug costs for 136 beneficiaries.
What is JEROME BENZ, DO's Medicare quality score?
JEROME BENZ, DO has a CMS MIPS Final Score of 52.5252/100 (Quality: 100, Cost: 25.084). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JEROME BENZ, DO located?
JEROME BENZ, DO is located at 1880 KENNETH RD STE 1, YORK, PA, 17408. Phone: (717) 767-2000.
What is JEROME BENZ, DO's NPI number?
JEROME BENZ, DO's National Provider Identifier (NPI) is 1104813468, issued on 10/03/2005.
Does JEROME BENZ, DO prescribe more brand-name or generic drugs?
JEROME BENZ, DO's prescribing is 52% brand-name and 48% generic drugs by claim count, with $25K in brand drug costs.
How many Ophthalmology Physician providers are there in the US?
There are 22,090 Ophthalmology Physician providers across 56 states in the US. The average Ophthalmology Physician provider writes 1,420 Medicare Part D claims per year.
What drugs does JEROME BENZ, DO prescribe most often?
Based on 2023 Medicare Part D data, JEROME BENZ, DO's most frequently prescribed drugs include Atropine Sulfate, Bromsite, Prednisolone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JEROME BENZ, DO accept Medicare?
JEROME BENZ, DO appears in CMS Medicare data with 198 Part D claims and 136 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEROME BENZ, DO's credentials?
JEROME BENZ, DO's NPI is 1104813468 with credentials DO. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology